Village doctor: stay, the village cannot be without you

If

The national medical security system is a "net"

Then the rural doctor is the health guard of the "bottom of the net"

The "Fourteenth Five -Year Plan" released a few days ago

Clarified the village medical team in the next few years

Development direction and key tasks

What is the current situation of village doctors?

What does the latest policy mean for village doctors?

Let's come to the grassroots together

Knowing the health gatekeepers who have rooted up at a close range

In the first half of this year, Yu Bo, the chief of the grassroots health section of the Weinan Health Commission, was more excited and busy.

On the morning of June 7, in the same way, Yu Bo, as on weekdays, continued to run in the municipal government office and other departments in the municipal government building.

"To implement this work, Weinan is the first in Shaanxi. We and the other three departments have stepped up coordination for nearly half a year. It is estimated that the opinions can be settled within two weeks, and it can be officially implemented in July and August." Said, it seemed very excited.

01

【Test Water】

"Pilot to hire villages in counties"

Light hope for grassroots medical care

This "grass -roots sanitary talent 'county management town hiring village" work that made Yu Boyin is proud of the work is an important part of the list of depth of Weinan City in 2021. Another test of the water to stimulate village doctors to play the role of "net bottom".

"Since 2022, 5 consecutive years have recruited more than 2,000 medical college degree or above graduates from grassroots township health centers. And, from the treatment of the problem, it has been implemented year by year." The core content, Yu Bo explained.

The long -breaking trial of the "grass -roots sanitary talent '‘ county management and town hiring village ’policy” policy, it also coincides with the development blueprint for the construction of the future village medical team construction in the “14th Five -Year Plan”. Of course, as of now, Weinan has just crossed the river with stones, but ignites hope for the future of the construction of the local grassroots medical service system.

Medical and health services are directly related to the health of residents. It is necessary to promote the center of gravity of medical and health work, sink medical resources, promote equalization of basic public services in urban and rural areas, provide the masses with safe and effective public health and basic medical services, and truly solve the difficulty of seeing a doctor at the grassroots level. question.

The premise of all this is how to truly attract medical graduates to join the rural doctors, and let them have no worries about the "camps" at the grassroots level.

02

【hold fast】

Low -work treatment

Grassroots village doctors carry the weight forward

On June 2nd, Fan Xuetao, a 47 -year -old Fanjiachuan Village Medical Medicine in Chengcheng County, wore a protective suit and was responsible for the prevention and control of the outbreak at the Weizhuang high -speed intersection.

Since the prevention and control of the normalization epidemic, Fan Xuetao, who has been a village doctor for 24 years, has more difficult tasks -to take turns on duty at high -speed roads with other village doctors in the town every month.

"There are not many people seeing a doctor in the village, and the village doctors have undertaken a large number of public health." Fan Xuetao said that he usually take turns on duty at the high -speed intersection. … From morning to night.

In the early 1990s, Fan Xuetao graduated from the then Shaanxi Science and Technology and Health School of Clinical Medicine. At the age of 20, he chose to return home because his parents needed to take care of.

In the first three years of following Master's medical treatment, Fan Xuetao not only learned the master of Master's "true biography", but also strongly felt the villagers' respect and needs for village doctors. So he decided to stay as a village doctor and continue to serve the villagers.

"In the past, when I was a village doctor, I could work at home to see a doctor, prevent epidemic prevention, and give vaccines for people in the villagers. Now I usually take a clinic in the village clinic, visit regularly, and conduct healthy management of the villagers." Fan Xuetao said.

The work of village doctors is specific, but it undertakes all medical, health, and health care in the village. They have long been in the highest level of the countryside, with the temperature gauge, auscultality, and blood pressure meter to provide the villagers with the most basic medical services and various health management.

"The number of migrant workers is increasing, and fewer and fewer people in the village; many medicines are not in the drug catalog of the village clinics; the demand for rural medical services has continued to shrink. At the same time The cost of earning clinics, and some subsidies, the income is also decreasing, let alone the protection of the adoption. "Fan Xuetao said.

Faced with a large number of work tasks and low treatment, Fan Xuetao would complain and complain, but after complaining and complaining, he still served every household in the village.

"Although there are fewer people seeing a doctor in the village now, the post of village doctors must not be less. Now the most worrying thing is to keep people ..." Fan Jiatao sighed deeply.

Fan Xuetao is just an ordinary member of the village doctor. He reflects the shadow of thousands of rural doctors. They take root at the grassroots level and serve, visit and complete public health service projects day after day.

03

【Broken Questions】

Solve the problem of sustainable village doctors

There should be a set of combination boxing

"Solving the problem of sustainable village doctors should be a set of combination boxing, which requires policy superposition and related departments to cooperate with the relevant departments."

In fact, like the whole country, in the more than ten years of new medical reform, in order to solve the problem of urban and rural dual -system structures, the shortage of grass -roots health talents, and unreasonable personnel of the personnel, all parts of Shaanxi are doing various attempts.

Strong grassroots, invest more financial resources and material resources to the grassroots, lead more talents and technologies to the grassroots, and effectively enhance the service capabilities of the grassroots; increase the transformation and construction of grass -roots medical and health institutions in urban and rural grassroots The construction of the key grassroots medical and health teams can make more urban and rural residents see the disease without the community or the countryside. In order to improve the ability of grassroots health services, more than 10 years, from the central to local, many policies and supporting measures have been introduced. However, due to the problem of medical reform, village doctors are willing to come and keep the problem far from solving.

"By the end of last year, there were more than 5,500 village doctors in Weinan City. The overall education level was low, the basic theoretical knowledge was weak, and the diagnosis and treatment ability was insufficient. With retirement, some are approaching and more than 60 years old, waiting for the supplement of subsequent power. "Yu Bo said.

It is understood that in the province's generally existing factors in the province due to the narrow channels of village doctors, the guarantee of the elderly, and the low salary and other factors, which is not conducive to attracting young doctors to join the rural doctors. Medicine is facing fault problems.

"The role of rural doctors is irreplaceable, so that the villagers 'minor illnesses can not go out of the village' 'small disease village', and they also greatly improve the level of village -level medical and health services. Say.

Zhang Baotong, a researcher at the Shaanxi Provincial Academy of Social Sciences, believes that only the welfare benefits, practice qualifications and editors of village doctors have been guaranteed to make the countryside "keep people" and be able to "keep their hearts". Take root at the grassroots level to better serve the health of the villagers.

However, to allow village doctors to play a role in the "bottom bottom" of grass -roots medical and health, it is necessary to follow up with the "guarantee mechanism".

04

【Dawn】

Solve the construction of a rural doctor team

Promote the implementation of the task

A few days ago, the General Office of the State Council issued the "Deepening the Reform of the Medical and Health System in 2022" (hereinafter referred to as "Task").

The "Task" requires to further improve the level of grass -roots medical and health services, implement and improve the policies and incentive policies of village medical treatment; promote the construction of healthy rural areas, and adopt the methods of patrolling and resident to ensure full coverage of village medical and health services. "County management and villages for villages"; orderly expanding the source channels of family doctors, innovative service methods; optimizing basic public health service projects and improving service quality.

At the same time, the "Fourteenth Five -Year Plan" (hereinafter referred to as the "Plan") recently released by the State Council, which once again clarified the direction of village doctors in the next few years. The "Planning" mentioned the improvement of the standardized training system of traditional Chinese medicine physicians, the general physician, and the rural doctor's knowledge training mechanism for traditional Chinese medicine; adopt the method of remaining, neighboring villages, and mobile visiting to ensure the full coverage of the township and village -level medical and health services.

"With the policy, the ability to strengthen the grass -roots medical and health service capabilities must be broken from the aspects of the construction of the village clinic infrastructure and the rural doctor's medical and health service capabilities. The staff of the health system who wants to disclose the name said.

How to promote the implementation of tasks and make medical graduates willing to take root in the countryside? "It is still necessary to start with the establishment and identity to change the lack of compilation of primary medical and health institutions to form a benign talent flow mechanism that can go up and down, can enter." Yu Bo has been paying attention to the reform of rural doctors from all over the country.

At the same time, strengthening the construction of rural doctors not only requires efforts to improve welfare benefits and improve career planning, but also need to make up for shortcomings in improving training mechanisms and enhancing business capabilities.

He believes that rural doctors determine the service level and quality of rural public medical care. The current policy orientation shows that more professional medical talents voluntarily join the rural doctors are just a matter of time.

Not only that, at present, the provincial medical reform key work leakage and supplementary task list, explore the recruitment system reform of the village clinics, the career development channel of the employees of the village clinics, and the level of pension subsidies to improve the village clinic practitioners. In the list. I believe that the construction of a rural doctor's talent team will gradually resolve it.

Source: Shaanxi Daily

Edit: Qin Xiaojian Shu Yunmao Ziyu Junhui

Review: The Health Promotion Division of the Shaanxi Provincial Health and Health Committee

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